Community support systems for persons with long-term mental illness: A conceptual framework.

Mental illness is more than just the diagnosis to an individual – it also has an impact on the social functioning of the family at large. When a parent or relative has a mental illness, all other family members are affected, even the children. The purpose of the study was to provide insight into the lived experiences of young people who live with mental healthcare users and the way in which their daily coping can be maximised. A qualitative, descriptive, phenomenological research was undertaken to explore and describe the lived experiences of young people who live with mental healthcare users in the Limpopo province, South Africa. Audiotaped, unstructured in-depth interviews were conducted with 10 young people who grew up and lived with a family member who is a mental healthcare user in their homes, until data saturation was reached. A content analysis was used to derive themes from the collected qualitative data. Four major themes emerged as features reflective of the young people’s daily living with mental healthcare user, namely psychological effects, added responsibilities, effects on school performances, and support systems. This study recommends that support networks for young people be established through multidisciplinary team involvement and collaboration and the provision of burden-sharing or a relief system during times of need. With the availability of healthy coping mechanisms and support systems, the daily living situations and coping of young people could be maximised, thereby improving their quality of life while living with their family members with mental illness.

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The Conceptual Framework: Growth, Institutions, and Social Orders

10.1093/oso/9780198796992.003.0002 ◽

2018 ◽

Author(s):

Andrea Lorenzo Capussela

Keyword(s):

Open Access ◽

Conceptual Framework ◽

Social Order ◽

Institutional Economics ◽

Theoretical Framework ◽

Institutional Reforms ◽

Reversible Process ◽

Main Determinant ◽

Social Orders

This chapter lays out one part of the theoretical framework of the book, drawn from institutional economics. This literature maintains that institutions are the main determinant of long-term growth, and that to remain ‘appropriate’ institutions must evolve in synchrony with an economy’s progress through the stages of its development. Their evolution depends on a society’s openness to political creative destruction. Limited-access social orders tend to constrain it, to safeguard elites’ rents, and typically undermine progressive institutional reforms, breaking that synchrony. The transition from that social order to the open-access one is an endogenous and reversible process, in which inefficient institutions, which allow elites to extract rents, coexist with appropriate ones, which constrain their power and make it contestable. The hypothesis is advanced that Italy has not yet completed this transition, and that the tension between its efficient and inefficient institutions can endogenously generate shocks, which open opportunities for equilibrium shifts.

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From Start-Up to Scale-Up

10.1093/oso/9780198815815.003.0011 ◽

2018 ◽

Cited By ~ 2

Author(s):

Gilles Duruflé ◽

Thomas Hellmann ◽

Karen Wilson

Keyword(s):

United States ◽

Conceptual Framework ◽

Public Policies ◽

Scale Up ◽

The United States ◽

Smart Money ◽

Start Up ◽

The Us ◽

The Creation

This chapter examines the challenge for entrepreneurial companies of going beyond the start-up phase and growing into large successful companies. We examine the long-term financing of these so-called scale-up companies, focusing on the United States, Europe, and Canada. The chapter first provides a conceptual framework for understanding the challenges of financing scale-ups. It emphasizes the need for investors with deep pockets, for smart money, for investor networks, and for patient money. It then shows some data about the various aspects of financing scale-ups in the United States, Europe, and Canada, showing how Europe and Canada are lagging behind the US relatively more at the scale-up than the start-up stage. Finally, the chapter raises the question of long-term public policies for supporting the creation of a better scale-up environment.

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Cost Analysis of a High Support Housing Initiative for Persons with Severe Mental Illness and Long-Term Psychiatric Hospitalization

The Canadian Journal of Psychiatry ◽

10.1177/0706743717752881 ◽

2018 ◽

Vol 63 (7) ◽

pp. 492-500 ◽

Cited By ~ 1

Author(s):

David Rudoler ◽

Claire de Oliveira ◽

Binu Jacob ◽

Melonie Hopkins ◽

Paul Kurdyak

Keyword(s):

Mental Health ◽

Mental Illness ◽

Cost Saving ◽

Cost Analysis ◽

Severe Mental Illness ◽

Inpatient Care ◽

Cost Savings ◽

Support Housing ◽

High Support

Objective: The objective of this article was to conduct a cost analysis comparing the costs of a supportive housing intervention to inpatient care for clients with severe mental illness who were designated alternative-level care while inpatient at the Centre for Addiction and Mental Health in Toronto. The intervention, called the High Support Housing Initiative, was implemented in 2013 through a collaboration between 15 agencies in the Toronto area. Method: The perspective of this cost analysis was that of the Ontario Ministry of Health and Long-Term Care. We compared the cost of inpatient mental health care to high-support housing. Cost data were derived from a variety of sources, including health administrative data, expenditures reported by housing providers, and document analysis. Results: The High Support Housing Initiative was cost saving relative to inpatient care. The average cost savings per diem were between $140 and $160. This amounts to an annual cost savings of approximately $51,000 to $58,000. When tested through sensitivity analysis, the intervention remained cost saving in most scenarios; however, the result was highly sensitive to health system costs for clients of the High Support Housing Initiative program. Conclusions: This study suggests the High Support Housing Initiative is potentially cost saving relative to inpatient hospitalization at the Centre for Addiction and Mental Health.

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Stock Market Development And Economic Growth in Nigeria

Vision The Journal of Business Perspective ◽

10.1177/09722629x98002001006 ◽

1998 ◽

Vol 2 (1) ◽

pp. 33-38 ◽

Cited By ~ 1

Author(s):

John C. Anyanwu

Keyword(s):

Economic Growth ◽

Risk Management ◽

Stock Market ◽

Conceptual Framework ◽

Corporate Control ◽

Market Development ◽

Political Environment ◽

Stock Market Development ◽

Long Run

Is the stock market development important for economic growth in Nigeria? One line of research argues that it is not; another line stresses the importance of stock market development in allocating capital, acquisition of information about firms, easing risk management, mobilization of savings, and exerting corporate control. Indeed, some theories provide a conceptual framework for the belief that larger, more efficient stock markets boost economic growth. This article examines whether there is a strong empirical association between Nigerian stock market development and long-run economic growth. Our empirical results suggest that the Nigerian stock market development is positively and strongly associated with long-term economic growth. This implies that Nigerian policymakers should make concerted efforts at removing obstacles to stock market development while creating and sustaining an enabling macroeconomic and political environment for the market’s development.

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